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Democrats in half of states sue Trump administration over Medicaid work rules

The lawsuit argues the new federal guidance could force states to add paperwork and deny coverage to eligible enrollees with serious illnesses.

  • On Monday, attorneys general and governors from 25 states and the District of Columbia sued the Trump administration, challenging new Centers for Medicare and Medicaid Services guidance on Medicaid work requirements that plaintiffs argue creates harmful coverage barriers.
  • Released earlier this month, the interim final rule narrows the 'medically frail' exemption established by the One Big Beautiful Bill Act of 2025, requiring conditions to 'significantly impair' an enrollee's ability to work.
  • North Carolina Attorney General Jeff Jackson criticized the requirements as 'sloppy and haphazard,' noting state officials were blindsided by the definition, threatening coverage for patients receiving active medical treatment.
  • Requesting a federal judge stay the interim final rule, the lawsuit targets HHS Secretary Robert F. Kennedy, Jr. and CMS Administrator Mehmet Oz, arguing it oversteps statutory protections for vulnerable populations.
  • Approximately 18.5 million Medicaid enrollees face potential coverage loss as the January 1, 2027, deadline approaches, while states struggle to balance federal compliance with protecting eligible residents.
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New York, Jun 29 (EFE).- A coalition of 24 Attorney Generals from 24 states and the District of Columbia filed a lawsuit against the administration of President Donald Trump for a new rule that, they denounce, would leave without coverage beneficiaries of the scheduled Medicaid, aimed at people with limited economic resources. The plaintiffs ask the court to suspend the application of the measure while the case is being resolved and that, finall…

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arcamax.com broke the news on Monday, June 29, 2026.
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